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Exotropia and face turn in children with homonymous hemianopia.

AbstractFour children developed homonymous hemianopia, exotropia with the deviating eye pointing in the direction of the field defect, and a face turn toward the side of the defect following complete third cranial nerve palsy after brain tumor resection, an in utero middle cerebral artery infarction, nonaccidental head trauma, and a hemispherectomy for an intractable seizure disorder. We present evidence that the exotropia and face turn are part of an adaptive mechanism to increase the useful visual field.
AuthorsSean P Donahue, Alden K Haun (Affiliation: Department of Ophthalmology and Visual Sciences, Vanderbilt University School of Medicine, Nashville, Tennessee 37232-8808, USA. sean.donahue at vanderbilt.edu)
JournalJournal of neuro-ophthalmology : the official journal of the North American Neuro-Ophthalmology Society (J Neuroophthalmol) Vol. 27 Issue 4 Pg. 304-7 (Dec 2007) ISSN: 1070-8022 United States
PMID18090567 (Publication Type: Case Reports, Journal Article, Research Support, Non-U.S. Gov't)
Topics
  • Brain Neoplasms (surgery)
  • Child
  • Child, Preschool
  • Exotropia (physiopathology)
  • Face
  • Female
  • Hemianopsia (etiology, physiopathology)
  • Humans
  • Infant
  • Male
  • Postoperative Complications
  • Visual Fields (physiology)